Most of us think of breathing as something automatic — inhale, exhale, repeat. But what if your breath held the key to moving more freely and feeling less pain?
Whether you’re managing chronic aches, recovering from an injury, or simply wanting to move with more ease, how you breathe could be the missing link.
Let’s break down the fascinating science and give you practical tools to harness your breath for better movement and reduced pain.
The Breath-Body Connection
Breathing does more than supply oxygen — it’s a powerful bridge between your autonomic nervous system (how your body reacts to stress) and your musculoskeletal system (how your body moves).
The diaphragm — your primary breathing muscle — connects to your ribs, spine, and core. When it doesn’t move well, neither do you.
What the Research Says
1. Breathing influences pain perception
- A study in Pain Medicine (2012) found that slow, deep breathing activates the parasympathetic nervous system and reduces pain perception, especially in people with chronic pain.
- Controlled breathing has been linked with the release of endogenous opioids — your body’s natural painkillers (Zautra et al., 2010).
2. Dysfunctional breathing changes movement patterns
- Research in the Journal of Orthopaedic & Sports Physical Therapy (2010) found that people with chronic low back pain often have poor breathing mechanics.
- They tend to overuse accessory muscles (neck, chest) and underuse the diaphragm, leading to poor core stability and inefficient movement.
3. Diaphragmatic breathing improves core control
- A 2013 study in Manual Therapy found that retraining breathing patterns improved core activation in people with back pain, suggesting that proper breathwork can enhance movement stability.
4. Breathwork reduces anxiety and muscular tension
- Breath-focused practices like box breathing or slow nasal breathing have been shown to reduce cortisol (the stress hormone), calming the nervous system and indirectly easing muscle tension (Jerath et al., 2006).
Practical Tips: How to Use Breath for Pain Relief and Better Movement
1. Start With Awareness
Most people chest-breathe — short, shallow breaths that don’t engage the diaphragm. Try this:
- Place one hand on your chest and one on your belly.
- Inhale through your nose for 4 counts. Let the belly expand, not the chest.
- Exhale slowly through your nose for 6 counts. Feel the belly fall.
- Do this for 2 minutes before movement or during pain flares.
2. Use Breath to Support Movement
Pair breath with movement to make it smoother and safer:
- Inhale to prepare or lengthen (e.g., before a squat or reaching up).
- Exhale to engage or exert (e.g., during the lift or as you twist).
Example:
- Inhale while reaching your arms overhead.
- Exhale as you fold forward or engage your core.
3. Pain Calming Routine: 4-7-8 Breathing
Great during pain spikes or anxiety:
- Inhale for 4 counts
- Hold for 7 counts
- Exhale slowly for 8 counts
Do 3 rounds. This activates the vagus nerve and shifts your body into healing mode.
4. Diaphragmatic Breathing in Different Positions
Try breathwork in different postures to train your nervous system:
- Lying on your back with knees bent (easiest)
- Sitting cross-legged
- On all fours (engages core and spine)
- Standing (most functional)
Each position makes the body work a little differently — and helps you carry breath awareness into real-life movement.
5. Incorporate Breath into Daily Movements
- Before getting out of bed: deep breath, then exhale as you roll.
- Before lifting groceries: inhale to prepare, exhale to lift.
- During stretching: inhale to lengthen, exhale to deepen.
Red Flags: Signs of Dysfunctional Breathing
Watch out for these signs, especially if you have pain or mobility issues:
- Constant chest or shoulder tension
- Frequent sighing or mouth breathing
- Holding your breath during daily activities
- Poor posture (rounded shoulders, forward head)
If these sound familiar, your breath may be contributing to your pain.
Breath Is Your Superpower
When you improve how you breathe, you:
- Stabilize your core without over-bracing
- Move more smoothly and efficiently
- Lower inflammation and tension
- Feel calmer and more connected to your body
Whether you’re dealing with back pain, stiff joints, or general fatigue — breath awareness can change your experience.
Quick Breath & Movement Reset (Try This Daily)
- Cat-Cow with Breath
- Inhale: Arch your back (cow)
- Exhale: Round your spine (cat)
Do 5 rounds.
- Inhale: Arch your back (cow)
- Wall Reach Breathing
- Stand facing a wall, arms overhead touching wall
- Inhale through nose
- Exhale fully through mouth, feel ribs fall
Repeat for 1 minute.
- Stand facing a wall, arms overhead touching wall
- Supine 90-90 Breathing
- Lie on your back, legs on chair (hips & knees 90°)
- Inhale belly, exhale fully
Do 10 slow breaths.
- Lie on your back, legs on chair (hips & knees 90°)
Final Thought
Your breath is more than air — it’s information. It tells your body how to move, stabilize, and heal. When in doubt, pause and breathe with intention. You may be surprised how much tension releases and how much smoother your movement becomes.
References
- Zautra, A. J., et al. (2010). “Effects of slow breathing on pain and emotion regulation.” Journal of Pain https://doi.org/10.1016/j.pain.2009.10.001
- Courtney, R. (2009). “The functions of breathing and its dysfunctions and their relationship to breathing therapy.” International Journal of Osteopathic Medicine
2006-physiology-of-longpranayamic-breathing-neuralrespiratoryelementsmayprovide.pdf - McKeon, P. O., et al. (2010). “Core stability and breathing pattern relationships in individuals with chronic low back pain.” Journal of Orthopaedic & Sports Physical TherapyThe Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain – PubMed
- Jerath, R., et al. (2006). “Physiology of long pranayamic breathing: neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system.” Medical Hypotheseshttps://doi.org/10.1016/j.mehy.2006.02.042
- Chaitow, L. (2014). Breathing Pattern Disorders and How to Overcome ThemRecognizing and treating breathing disorders – an Interview with Leon Chaitow – Physiospot – Physiotherapy and Physical Therapy in the Spotlight